Prevalence, Awareness, Treatment, and Control of Hypertension in Korea

Kang, Si Hyuck; Kim, Sun-Hwa; Cho, Jun Hwan; Yoon, Chang-Hwan; Hwang, Seung-Sik; Lee, Hae Young; Youn, Tae‐Jin; Chae, In‐Ho; Kim, Cheol-Ho

doi:10.1038/s41598-019-46965-4

Cited by 56 publications

(67 citation statements)

References 32 publications

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“…The move toward intensive BP control is also similar in the U.S. and in Europe [5,17]. Previous studies have shown hypertension awareness, treatment, and control rates increased remarkably until 2007, but showed a plateau thereafter [12,18]. The present study also suggests that there is room for improvement in BP control among Korean adults with hypertension.…”

Section: Discussionsupporting

confidence: 77%

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Potential impact of 2018 Korean Society of Hypertension guidelines on Korean population: a population-based cohort study

et al. 2020

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Background: The Korean Society of Hypertension (KSH) revised the local guidelines for hypertension in 2018. The present study sought to evaluate the potential impact of the 2018 KSH guidelines on hypertension management status among the Korean population in terms of prevalence of hypertension, antihypertensive medical treatment recommendations, and control status in Korean adults. Methods: We used data from the Korea National Health and Nutrition Examination Survey to estimate the number and percentage of Korean adults who have hypertension according to blood pressure (BP) classification, are recommended to receive antihypertensive medical treatment, and are receiving medical treatment and have BP in the optimal range according to the new recommendations. Adults aged 30 years or older who participated in the survey between 2013 and 2015 were selected for this study. Results: The prevalence of hypertension was 30.5% among Korean adults aged 30 years or older. The percentage of subjects who are recommended to be treated with antihypertensive medications substantially increased from 32.5 to 37.8%, which translates to 1.6 million adults. Among the hypertensive patients who were receiving medical treatment, 38.6% were shown to have adequate BP levels as recommended by the 2018 KSH guidelines compared with 51.8% according to the previous 2013 guidelines. Conclusions: The present study reports the potential impact of the 2018 KSH guidelines on the prevalence of hypertension, antihypertensive medical treatment recommendations, and control status for Korean adults. The 2018 KSH guidelines recommend more intensive BP control compared with previous guidelines. This study suggests that there is large scope for improvement in hypertension management in the Korean population.

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Section: Discussionsupporting

confidence: 77%

“…The 2018 KSH guidelines maintained its BP criteria for hypertension (systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg) [8]. There were only small changes in the ranges of elevated BP and prehypertension [12]. The 2017 ACC/AHA hypertension guidelines lowered the threshold for hypertension from 140/90 mmHg to 130/ 80 mmHg [13].…”

Section: Discussionmentioning

confidence: 99%

Potential impact of 2018 Korean Society of Hypertension guidelines on Korean population: a population-based cohort study

et al. 2020

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“…Blood pressure was measured three times on the subject’s right arm using an appropriately sized arm cuff and mercury sphygmomanometer (Baumanometer; WA Baum Co., New York, NY, USA). It was measured in a seated position for at least 5 min and the final BP was the mean value of the second and third measurements [ 37 ]. Hypertension was defined as a systolic blood pressure (SBP) ≥140 mmHg or a diastolic blood pressure (DBP) ≥90 mmHg, or use of anti-hypertensive medications, or diagnosis from a doctor.…”

Section: Methodsmentioning

confidence: 99%

Association of Blood Cadmium with Cardiovascular Disease in Korea: From the Korea National Health and Nutrition Examination Survey 2008–2013 and 2016

Jeong

Yun

Kim

et al. 2020

IJERPH

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Cardiovascular disease (CVD) is the leading cause of death globally, although the mortality rate has declined with improved technology and risk factor control. The incidence rate of stroke, one of the CVDs, is increasing in young adults, whereas it is decreasing in the elderly. The risk factors for CVD may differ between young adults and the elderly. Previous studies have suggested that cadmium was a potential CVD risk factor in the overall and middle-aged to elderly populations. We assessed the associations between cadmium and CVD events in the Korean population aged 20–59 years using the 2008–2013 and 2016 Korea National Health and Nutrition Examination Survey (KNHANES), a population-based cross-sectional study. Among 10,626 participants aged 20–59 years, those with high blood cadmium (BCd) level (>1.874 µg/L, 90th percentile) were higher associated with stroke and hypertension (stroke: odds ratio (OR), 2.39; 95% confidence interval (CI), 1.03–5.56; hypertension: OR, 1.46; 95% CI, 1.20–1.76). The strongest association between high blood cadmium concentrations and hypertension was among current smokers. Ischemic heart disease (IHD) was not associated with high blood cadmium level. These findings suggest that high blood cadmium levels may be associated with prevalent stroke and hypertension in the Korean population under 60 years of age.

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“…In Korea 29 , a 2019 report revealed that the prevalence, awareness, treatment, and control of hypertension in adults aged 30 years or older was 30.5%, 67.3%, 63.6%, and 46.2%, respectively. However, in our study in Inner Mongolia, the control rate of hypertension was only 8.6%.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Awareness, Treatment, and Control of Hypertension in Northern China: a Cross-Sectional Study

Tian

et al. 2020

Preprint

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Abstract Aims Hypertension has always been a worldwide health concern. The purpose of this study was to investigate the prevalence, awareness, treatment, and control rates of hypertension among adult residents of northern China, where people usually have a high-fat, high-salt diet and heavy alcohol consumption. Methods Through the Early Screening and Comprehensive Intervention Project for High Risk Groups of Cardiovascular Diseases in the Inner Mongolia Autonomous Region of northern China, we collected data of 70,380 residents and assessed the prevalence, awareness, treatment, and control of hypertension in the total population and subpopulations. Results Among participants, only 13.9% (11.7% of men and 15.4% of women) had optimal BP levels. 55.7% (95% confidence interval (CI): 55.3–56.1%) of the participants had hypertension. A total 52.8% (52.3–53.3%) of patients with hypertension were aware of their diagnosis and 43.3% (42.8–43.8%) were taking antihypertensive medications. Only 8.6% (8.3–8.9%) of patients with hypertension had their BP under control, and 19.8% (19.2–20.4%) of those who were treated had their BP under control. The standardized rates of hypertension prevalence, awareness, treatment, control, and control under treatment were 49.4% (49.0–49.8%), 45.4% (44.9–45.9%), 35.7% (35.2%–36.2), 7.3% (7.0–7.6%), and 20.8% (20.2–21.4%), respectively. Conclusion Hypertension is highly prevalent in northern China, with inadequate awareness, treatment, and control of hypertension. Even if patients with hypertension are under treatment, hypertension can remain inadequately controlled.

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Prevalence, Awareness, Treatment, and Control of Hypertension in Korea

Cited by 56 publications

References 32 publications

Potential impact of 2018 Korean Society of Hypertension guidelines on Korean population: a population-based cohort study

Potential impact of 2018 Korean Society of Hypertension guidelines on Korean population: a population-based cohort study

Association of Blood Cadmium with Cardiovascular Disease in Korea: From the Korea National Health and Nutrition Examination Survey 2008–2013 and 2016

Prevalence, Awareness, Treatment, and Control of Hypertension in Northern China: a Cross-Sectional Study

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